Inspection on 19/04/07 for 42 Robin Hood Road

This inspection was carried out on 19th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

42 Robin Hood Road 27/02/06

42 Robin Hood Road 07/11/05

42 Robin Hood Road 30/03/05

42 Robin Hood Road 19/08/04

42 Robin Hood Road 24/02/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

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Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Robin Hood Road (42) 42 Robin Hood Road Brentwood Essex CM15 9EN Lead Inspector Sarah Hannington Unannounced Inspection 19th April 2007 09:00 Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Robin Hood Road (42) Address 42 Robin Hood Road Brentwood Essex CM15 9EN 01277 233671 01277 233671 hmrhr@outlookcare.org.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Outlook Care Mrs Natelie Ann Bessey Mrs Patricia Saich Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Personal care to be provided to no more than 4 service users with a learning disability. 27th February 2006 Date of last inspection Brief Description of the Service: 42 Robin Hood Road provides care for up to four adults with a Learning Disability. The premises are a semi detached `Edwardian Style` house situated in a residential area in Brentwood. All service users have a single bedroom and use of a large communal lounge and kitchen/dining area. The garden is situated to the rear of the property and is well maintained. A sensory garden has been designed and built. The home is situated approximately half a mile from Brentwood Town Centre and within easy reach of other local facilities. The home is easily accessed by public transport. Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site inspection was unannounced and lasted for 2.5 hours. A further 2.5 hours was spent looking at survey returned by relatives, staff and other professionals in contact with the service. (these surveys are sent out by CSCI previous to the site inspection.) However as a result of resident’s communication difficulties, the inspector was unable to communicate verbally with individual residents or for them to complete surveys that were sent out. During the inspection, the inspector spoke with the two staff on duty, observed the interaction between staff and residents. A tour of the building took place and a sample of the home’s policies, procedures and records were inspected. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s admission process remains well managed. Prospective residents are formally assessed prior to admission. EVIDENCE: Policies and procedures are in place regarding pre admission activity such as a prospective service user visiting the home and assessments to be carried out prior to them moving in. The Service user guide and statement of purpose uses both photographs and pictorial references to enable individuals to understand its contents in a communication form familiar to them. Surveys sent out to service users and advocates confirmed that new residents are offered a number of visits and consultation meetings prior to any move in date. Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are enabled and empowered to participate within all aspects of life in the home. EVIDENCE: Robin hood road uses a person centred approach when organising care plans and includes individual’s wishes, aims, goals and views. Staff have also introduced and continue to develop `objects of reference` and a pictorial guide to assist and enable service users in making decisions on a day-to-day basis. This system also enables service users to have some understanding of the daily routines and activities planned i.e. a choice of items are offered to service users related to individual food items so as to make their preference known for lunch or the evening meal. Individual diaries were observed for all service users. Reviews of Care plans were evidenced and are carried out every three months and have a 6-month review, which may also include families and other professionals. Infringement of Rights pertaining to individuals was clearly identified and documented. The home holds regular residents meetings and the organisation promotes service user views by holding a three monthly service users forum. Advocacy is Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 9 promoted. It is noted that service users are involved in people first international a group in Havering, ‘supporting people with LD around the world to control their own lives’. Risk assessments were evident for both care plans and associated documentation inspected. Assessments were noted to be comprehensive, detailed and included evidence that these had been reviewed and updated to reflect service users changing needs. Service users have lockable storage in their rooms for finances and valuables. Within the service users care plans is a section called ‘my money’ and include individuals needs and views. All service users finances have a good system that accounts for individual’s transactions. All correspondence relating to benefits, bank accounts and charges are well documented. Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged and supported to participate within a range of social, educational and leisure activities. EVIDENCE: A weekly programme of activities is displayed within the home and detailed within individual service user care plans. The home operates an `open visiting policy` whereby service users can receive visitors at any reasonable time. On inspection of nutritional records/menu’s, these evidenced a varied diet for service users. Records detailed that service users are enabled to have takeaways and meals out. Service users are encouraged to choose their own meals from items displayed within small food containers. Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s personal and health care needs are well managed. The home’s medication processes and procedures are appropriate. EVIDENCE: Service users are given a choice of how they would like to be supported concerning personal care and this is recorded in their care plans, including things like when they like to get up or go to bed, dislike and preferred routines. Care plans highlighted Individual health needs and evidenced that service users are professionally assessed and offered services that catered for their ‘specific’ needs. Healthcare needs of service users are met and appropriate professionals are consulted when required i.e. Occupational Therapist, District Nurse Services, Community Psychiatric Nurse Services, GP, Dentist, Opticians and behavioural therapists. The home operates a key worker system and staff spoken with were able to demonstrate a good understanding of service users needs. A Monitored medication dosage system is in place for service users. Medication is stored in a lockable cabinet and the administration records were being maintained in accordance with agreed procedures. Record sheets had been correctly recorded and signed for. Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has appropriate policies and procedures pertaining to complaints and adult protection, which protect residents from abuse and respond to their concerns. EVIDENCE: No complaints or Protection of adults concerns have been received since the last inspection. All staff have received Protection of Vulnerable Adults training. The home has appropriate policies, procedures and staff training in place for protecting vulnerable residents which protects against abuse and respond to their concerns.There remains clear guidelines and strategies for managing both physical and verbal aggression. Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robin Hood Road provides residents with a good standard of accommodation, which is homely, comfortable and safe. EVIDENCE: On the day of inspection the home was, odour free, comfortable, and safe and kept up to a good standard. Residents’ bedrooms are individualised and personalised according to their personal preferences, likes and dislikes. There is a large accessible garden to the rear of the property and this includes a sensory garden. Accommodation provided meets the needs of the service users at Robin hood Road. No health and safety issues were highlighted at this inspection. Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staffing levels at Robin Hood Road remain appropriate for the numbers and needs of existing residents. Residents are protected by the homes recruitment procedures. Training and staff supervision is actively encouraged to ensure good delivery of care to residents. EVIDENCE: Staffing levels at Robin Hood Road remain appropriate for the numbers of service users and have the necessary skills and experience required needs of existing residents. Training and staff supervision is regular. In previous inspections the home has evidenced it has appropriate recruitment procedures, these records were not available during this inspection, due to the managers being on training and being stored away securely. Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and resident’s, benefit from a well run home. EVIDENCE: Service users are benefiting from a strong management team and the level of service is good. Recording of minutes, regular meetings, addressing issues raised in the different services and an action plan were present. The home has developed a quality assurance survey that will allow individuals or their representatives to give appraisal of the service, staff and environment provided. Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 4 X X 4 X Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 17 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Robin Hood Road (42) DS0000018118.V336846.R01.S.doc Version 5.2 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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